Non-radiologist-performed abdominal point-of-care ultrasonography in paediatrics - a scoping review.

Autor: van Wassenaer EA; Emma Children's Hospital, Amsterdam UMC, Paediatric Gastroenterology, University of Amsterdam, Meibergdreef 9, 1105AZ, Amsterdam, The Netherlands. e.a.vanwassenaer@amsterdamumc.nl.; Amsterdam Reproduction and Development, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands. e.a.vanwassenaer@amsterdamumc.nl.; Amsterdam Gastroenterology and Metabolism,Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands. e.a.vanwassenaer@amsterdamumc.nl., Daams JG; Amsterdam UMC, Medical Library, University of Amsterdam, Amsterdam, The Netherlands., Benninga MA; Emma Children's Hospital, Amsterdam UMC, Paediatric Gastroenterology, University of Amsterdam, Meibergdreef 9, 1105AZ, Amsterdam, The Netherlands., Rosendahl K; Department of Radiology, Section of Paediatric Radiology, University Hospital North Norway, Tromsø, Norway.; Department of Clinical Medicine, Faculty of Health Sciences, UiT the Arctic University of Norway, Tromsø, Norway., Koot BGP; Emma Children's Hospital, Amsterdam UMC, Paediatric Gastroenterology, University of Amsterdam, Meibergdreef 9, 1105AZ, Amsterdam, The Netherlands., Stafrace S; Division of Body imaging, Department of Diagnostic Imaging, Sidra Medicine and Weill Cornell Medicine, Doha, Qatar., Arthurs OJ; Department of Radiology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.; NIHR Great Ormond Street Biomedical Research Centre, London, UK., van Rijn RR; Amsterdam UMC, Radiology, University of Amsterdam, Amsterdam, The Netherlands.
Jazyk: angličtina
Zdroj: Pediatric radiology [Pediatr Radiol] 2021 Jul; Vol. 51 (8), pp. 1386-1399. Date of Electronic Publication: 2021 Apr 10.
DOI: 10.1007/s00247-021-04997-x
Abstrakt: Background: Historically, US in the paediatric setting has mostly been the domain of radiologists. However, in the last decade, there has been an uptake of non-radiologist point-of-care US.
Objective: To gain an overview of abdominal non-radiologist point-of-care US in paediatrics.
Materials and Methods: We conducted a scoping review regarding the uses of abdominal non-radiologist point-of-care US, quality of examinations and training, patient perspective, financial costs and legal consequences following the use of non-radiologist point-of-care US. We conducted an advanced search of the following databases: Medline, Embase and Web of Science Conference Proceedings. We included published original research studies describing abdominal non-radiologist point-of-care US in children. We limited studies to English-language articles from Western countries.
Results: We found a total of 5,092 publications and selected 106 publications for inclusion: 39 studies and 51 case reports or case series on the state-of-art of abdominal non-radiologist point-of-care US, 14 on training of non-radiologists, and 1 each on possible harms following non-radiologist point-of-care US and patient satisfaction. According to included studies, non-radiologist point-of-care US is increasingly used, but no standardised training guidelines exist. We found no studies regarding the financial consequences of non-radiologist point-of-care US.
Conclusion: This scoping review supports the further development of non-radiologist point-of-care US and underlines the need for consensus on who can do which examination after which level of training among US performers. More research is needed on training non-radiologists and on the costs-to-benefits of non-radiologist point-of-care US.
Databáze: MEDLINE
Externí odkaz: